47th USA Karate Federation National Championships
and Eastern USAKF National Team Pool Selection

Individual Registration Form (Entry form) All information must be supplied. Email address required for confirmations.  
REGISTRATION FEE: Early On-Line registration $55 one event plus $5 for each additional event. On-line registration available until November 1. Registration includes USAKF membership. $10 Late fee at the door.

SPECTATOR FEE: Adults: $5 Children Ages 5-12: $3 - $7 and $5 at the door.

Be sure to fill out all fields and agree to terms and waiver information.

No refund requests honored the day of the event or afterwards. Refund requests prior to the day of the event will incur a $10 handling fee.
We will be using WUKF Rules and Divisions for Kata and Kumite except for some slight modifications - see our website. You can select one kata division to compete in.

November 6, 2021 8:00am - 10:00pm
November 1, 2021 11:00pm [Eastern Time]
Louisville Church of Christ
1520 California Ave
Louisville, Oh 44646
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INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

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Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

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Registration inquiries:
USA Karate Championships
email The USA Karate Federation.
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For weight divisions you must meet your weight as entered.
Karate Rank
Information to help select divisions

All - Age and Experience
Final age and experience divisions will be determined by the tournament committee considering the actual enrollment in the tournament.

Kata - WUKF Modifications
Kata divisions will be by separate category and not by style.

We reserve the right to institute a style kata division but if we do, you will only be able to compete in one kata division of your choosing. Note: If enough youth competitors desire to compete in an additional kata division, we will consider it pending 1) there are enough competitors of a reasonable age grouping desire to do so, and each competitor pays an additional $10 fee on the spot for entry into this special additional event.

Kata may be judged by scorecard system or flag system depending on enrollment.
Kihon - For youth who have not yet learned kata 

All kumite will be judged as sanbon shobu (ippon and wazari totaling 3 points or sanbon). This applies regardless of age.

Kumite (Free Fighting)
Kobudo (Weapons Kata)
Kihon - for kids who do not know kata
Free T-Shirt for registrations prior to October 28
By voluntarily agreeing to these terms I, the undersigned, state I have read the below waiver and release, understand that I have given up for myself and/or my minor child substantial rights by agreeing to the terms and conditions.

Amateur Athletic Waiver and Release of Liability
Required Form
In consideration of participating in any way in The USA Karate Federation athletics/sports program, and related events and activities, the undersigned:
1. Agrees that prior to participating, they will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach or supervisor or USA Karate Federation personnel of such conditions) and refuse to participate.
2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue The USA Karate Federation, its affiliated
clubs, regional sports organizations, their respective administrators, directors, agents,
consultants, coaches, and other employees of the organization, other participants, sponsoring
agencies, sponsors, advertisers, and, owners and lessees of premises used to conduct the event, all of which are hereinafter referred to as "releasees" from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of any releasee or otherwise.

By registering for this event, I understand my email address may be used by USA Karate Federation and affiliated organizations to announce other martial arts activities.
Check this box to indicate that you have read and agree to all of the above terms & conditions